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100% of survey complete.
I am a/ an....

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* 1. I am a/ an....

TherAccess - Hand and Upper Extremity Rehabilitation Center offers Splinting and Orthosis Fabrication Workshops for Students, Beginner and Experienced Therapists. Please indicate your preference for a training workshop.

I would like to ....

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* 2. TherAccess - Hand and Upper Extremity Rehabilitation Center offers Splinting and Orthosis Fabrication Workshops for Students, Beginner and Experienced Therapists. Please indicate your preference for a training workshop.

I would like to ....

I design / fabricate / use ______________ splints / orthoses per day.

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* 3. I design / fabricate / use ______________ splints / orthoses per day.

I prefer to

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* 4. I prefer to

I would be willing to attend a one day "hands-on" workshop on splinting and orthoses fabrication.

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* 5. I would be willing to attend a one day "hands-on" workshop on splinting and orthoses fabrication.

I am willing to travel ....

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* 6. I am willing to travel ....

I would like to earn CE credits for my course

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* 7. I would like to earn CE credits for my course

I am willing to pay ________________ for the workshop

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* 8. I am willing to pay ________________ for the workshop

I would like to learn more about ....

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* 9. I would like to learn more about ....

Please provide / update your contact details:

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* 10. Please provide / update your contact details:

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